Provider Demographics
NPI:1326069972
Name:GARBERG, GILBERT DON (DC)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:DON
Last Name:GARBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 WELLSIAN WAY
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-943-4919
Mailing Address - Fax:509-578-1012
Practice Address - Street 1:325 WELLSIAN WAY
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4116
Practice Address - Country:US
Practice Address - Phone:509-943-4919
Practice Address - Fax:509-578-1012
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA25750OtherGROUP HEALTH
WA159273OtherWORKER'S COMPENSATION
WA25750OtherGROUP HEALTH
81-4539142OtherTIN
U89827Medicare UPIN